What is the success rate of tooth re-implantation?

The success of tooth re-implantation depends on the time elapsed since the injury, the condition of the tooth, and proper post-operative care.

Is splinting always required with D7270?

Splinting is often used to stabilize the tooth, but the necessity depends on the specific case and the dentist’s clinical judgment.

How soon should a tooth be re-implanted after an accident?

Ideally, a tooth should be re-implanted within 30 minutes to an hour for the best chance of success.

Does insurance typically cover D7270?

Coverage varies by insurance plan, so it’s important to verify benefits and pre-authorization requirements with the provider.

D7270

Tooth Re-implantation & Stabilization - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT Code D7270 pertains to the re-implantation and/or stabilization of an accidentally evulsed or displaced tooth. This procedure is crucial in dental emergencies where a tooth has been knocked out or displaced due to trauma. The process involves repositioning the tooth in its socket and may include splinting to adjacent teeth for stabilization. This code is applicable in scenarios where immediate action is necessary to preserve the natural tooth and maintain oral function. Dental professionals use this procedure to ensure the best possible outcome for tooth survival and alignment, often in collaboration with other dental or medical interventions.

When to Use This Code

A tooth has been knocked out due to sports injury and needs re-implantation.
A displaced tooth from a car accident requires stabilization.
A child’s permanent tooth is accidentally evulsed during play.
Re-implantation of a tooth after a fall that caused displacement.
Stabilization of a tooth after it was moved from its position due to trauma.

Documentation Requirements

Detailed patient history and description of the traumatic event.
Clinical notes on the condition of the tooth and surrounding tissues.
Radiographic evidence supporting the need for re-implantation or stabilization.
Description of the procedure performed, including any splinting methods used.
Post-operative care instructions provided to the patient.
Follow-up appointment details for monitoring the tooth’s recovery.

Billing Considerations

When billing for D7270, it's important to document the trauma and necessity for the procedure clearly. Frequency limitations may apply, and it's crucial to check with the patient's insurance for coverage specifics. Common modifiers may include those indicating the emergency nature of the procedure. Coordination with medical insurance may be necessary if the trauma involved broader medical care.

Related CDT Codes

D7280 D7250 D7210 D7220 D7230

Frequently Asked Questions

D7270 is typically used for permanent teeth, as primary teeth are often not re-implanted due to potential damage to developing permanent teeth.

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